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In This Section Texas Health Dallas
Diabetes

Ask A Diabetes Educator


Please complete the fields below and click the submit button to ask a Texas Health Resources diabetes educator a question about disease management, support or other resources. You will receive an answer via email in the coming days.



* Indicates required information
First Name * 
Middle Initial 
Last Name * 
Street Address * 
Address 2 
City * 
State * 
Zip * 
Address Type * 
Employer 
Home Phone 
Work Phone 
Cell Phone 
Fax 
Email Address * 
Gender * 
Date of Birth (MM/DD/YYYY) 
Children in Household? * 
Health Insurance? * 
Primary Care Physician? * 
Preferred Hospital 
Question About Diabetes 
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